| NPI | 1972911345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY FAUST SMITH Manager 985-517-7034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 2724) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 851) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |